Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Montgomery
    Ask Trek AI about this page

    James Montgomery — Billing Profile & Reimbursement Data

    NPI 1225071806 · Murrells Inlet, SC · Gynecology Physician

    Customize your policy alerts

    Sign up for James Montgomery — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    James Montgomery is a gynecology physician provider located in Murrells Inlet, South Carolina. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Montgomery
    Address4518 Richmond Hill Dr
    CityMurrells Inlet
    StateSC
    ZIP29576
    TaxonomyGynecology Physician
    NPI EnumeratedJune 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3245Injection, tildrakizumab, 1 mg5,400$110$594K
    J3380Injection, vedolizumab, intravenous, 1 mg21,300$20$362.1K
    J2357Injection, omalizumab, 5 mg10,380$30$311.4K
    J0897Injection, denosumab, 1 mg13,620$20$245.2K
    J3111Injection, romosozumab-aqqg, 1 mg18,060$10$144.5K
    J2182Injection, mepolizumab, 1 mg5,100$20$117.3K
    J1306Injection, inclisiran, 1 mg8,520$10$76.7K
    J1745Injection, infliximab, excludes biosimilar, 10 mg2,010$30$52.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.360$50$16.3K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…100$90$8.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J32453203,800$110$435.3K
    J338042011,400$20$231K
    J23576304,360$30$183.8K
    J21827105,050$20$146.9K
    J311194012,390$10$129.4K
    J174534503,250$30$107K
    J130611208,800$10$95.1K
    J0897252502,400$20$91.2K
    9641395150140$90$22.1K
    9636522170100$40$7.4K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with James Montgomery, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Infusion Services LLCSCInfusion Therapy Clinic/Center$0$93.6M
    Kristi HunterGAGeneral Practice Physician$6.4M$0
    Rachel TedescoNCNurse Practitioner$5.7M$0
    Stephen ParksSCFamily Medicine Physician$3.9M$0
    Lindsay GambleSCFamily Nurse Practitioner$3.7M$0
    Lisa SaulsSCFamily Nurse Practitioner$3.4M$0
    Rosalee UnwinSCFamily Nurse Practitioner$2.9M$0
    Whitley WeatherfordSCFamily Nurse Practitioner$2.7M$0
    Glenda CollinsSCFamily Nurse Practitioner$2.3M$0
    Eliza ShinallGAFamily Nurse Practitioner$1.5M$0

    Nearby Providers

    Other providers in the same ZIP code as James Montgomery, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Waccamaw Community HospitalSCGeneral Acute Care Hospital$0$9.7M
    Seaside Pediatric Dental AssociatesSCPediatric Dentistry$0$5.6M
    Inlet Pediatrics PASCPediatrics Physician$0$5.3M
    Murrells Inlet Asc LLCSCAmbulatory Surgical Clinic/Center$2.6M$0
    Carolina Ob-gyn LLCSCObstetrics & Gynecology Physician$0$2M
    Charles DoeringSCOphthalmology Physician$1.7M$0
    Jason RosenbergSCInterventional Pain Medicine Physician$880.6K$0
    Michael MccaffreySCNeurology Physician$723.1K$0
    Matthew DaviesSCPain Medicine (Physical Medicine & Rehabilitation) Physician$714.5K$0
    Channing WilloughbySCPain Medicine Physician$680.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    James Montgomery — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina